Nomination Form for Service Member of the Year

For Armed Forces Week 2017

Please print or type all information; do not abbreviate!

Please email this form and the nominee’s bio to

Photographs of all awardees will be taken on Tuesday, 21 March 2017- 1700 hours at

Fr Justin Knights of Columbus, 2735 Union Road ,Cheektowaga, NY14225

Awardee of (circle one):Army Active, Army Reserve, Army National Guard, New York Guard,

Marine Corps Active, Marine Corps Reserve, Navy Active, Naval Reserve Force, New York Naval Militia, Air Force Active, Air Force Reserve, Air National Guard, Coast Guard Active, Coast Guard Reserve

Point of Contact for awardee's military unit

Full Name:______Title:______

Military Unit Name______

Your Best Phone Number::______Your Best Email:______

Awardee Information

Last name:______, First name:______Middle initial: ______

Rate/Rank: ______; Print out full title of rate/rank:______

Branch of service: ______Billet/Position/Job/Title______

Street Address______City______ST______ZIP______

Best Phone Number: ______Best Email______

Phone Number of your unit______FAX______

Name of Spouse______

Please attach a short biographical summary of the nominee's military career (approximately 150-200 words). This shouldinclude date of enlistment(s), past commands, major awards, and a short summary of the reasons that this person wasnominated for Service Person of the Year. All biographies must be submitted in a Word or text file andemailed to y 14 March 2017.

Photographs for the Tribute Book will be taken on21 March 2017 as noted above. If your nominee can not make it on 21 March 2017for the photograph, have them set upan appointment with Tom Kelly of Kelly Expressions, Ltd, 716-823-9123 prior to March 14, 2017. Submitted photographs are 4" X 5" X 300dpi, black and white, uncovered, dress uniform, lighter plain studio painted background.

Tickets for both the awardee and a guest will be distributed on March21stfollowing the photo session.

Photograph questions? Tom Kelly - 823-9123 –

Remember: Bios and Nomination Form – 14March 2017

Nominee photographs – Wednesday, 21 March 2017

Samples of write-ups from last year are in last year’s Tribute Book

Or email for a copy of the write-ups.

WNYAFW 2017 SPOY form 17 Jan2017